Organization
LISA A DURETTE MD PLLC
Active
Parent organization
LISA A DURETTE MD PLLC
Other names
Healthy Minds
Organization subpart
Yes
Provider details
NPI number
Legal business name
LISA A DURETTE MD PLLC
Authorized official
KENNETH MCKAY PH.D. (CEO)
(702) 419-8920
Entity
Organization
Contact information
Practice address
526 S TONOPAH DR STE 200, LAS VEGAS, NV 89106-4013
(702) 440-8440
Mailing address
PO BOX 82038, LAS VEGAS, NV 89180-2038
(702) 359-9899
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
08/27/2019
Last updated
11/21/2022
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